Putting words to desire

'If you can sit in your seat and be at the receiving end of attention, and not have it harm you and not do any harm to the person who is providing it. Assuming that what they are saying is inviting, assuming that what they are saying, recognises you. It doesn't demean or diminish you, but recognises all of who you are. You can sit in your seat and you can receive that and you can make yourself available to benefit from it, then know in turn what you feel towards the other person. That's the safest sex you will ever have’ (Group, 2020.)

Good enough psychological therapy involves these sort of interactions. Moreover, the professional boundaries of psychological therapy encourage these interactions. This is because psychological therapy is different to physically caring. Instead, some parts of reality remain in fantasy.

'because you are my therapist I can imagine you to be my perfect partner' (Benjamin, 1995.)

Such imaginings include erotic idealisations. Erotic meaning relating to, or tending to arouse, sexual desire/excitement. Remembering erotic idealisations, in therapy, can be unhelpful (Renn, 2020.) One way therapists can make them more helpful is by recognising common therapist erotic idealisations with the client.

Perhaps of rescuer and/or saviour; of completing the other; of being the ideal partner; the ideal parent; seeing ourselves as innocent and omnipotent in the face of another person's needs. Amongst many more (Benjamin,1995.) Reducing any guilt, or shame, for the client in their idealisation. Reminding the client that erotic idealisations are both ordinary and unavoidable. Indeed, it often seems, the unconscious mind only wants to kill or have sex with other people (Gabbard, 2006.)

By such recognition we communicate that erotic idealisations can be helpfully discussed. Emphasising the value of putting words to desire. Additional interactions with which to create helpful relationships. In summary, erotic idealisations in professional therapeutic practice are inevitable and can be helpful and/or unhelpful. By way of example, some unhelpful and helpful, uses of erotic idealisations in therapy are detailed below :

Helpful uses of erotic idealisation

1) As a source for the practise of giving and receiving compliments. As part of how we learn to like each other. As a means to enjoy each other's company. As caricatures of our true selves. To help the repair of ruptures in the relationship. In recognising the commonality of this mutual activity. It takes one to know one.

2) As an additional way to regulate intimacy. A form of distancing and so retain a sense of control. Reducing overwhelming anxiety or helplessness. Recognising that sexuality can be a helpful place to go, an achievement. That sometimes reduces the possibility of violence.

3) For placing the relationship in the context of other relationships and wider culture. In recognising who we each other look like and who we remind each other of. Including other fantasies and real relationships. Helping remember other minds.

4) As a source of self deprecating humour for the therapist. As a means to ground ourselves in our capacity for self deception. As a means to identify the non erotic parts of life and our subconscious minds.

5) As a way to communicate our effect on each other. So as to understand ourselves better and recognise both parties interpersonal power. To help and/or harm each other. So with practise the client can experience how others can become useful objects and collaborative subjects for them. Independent from each other and dependent on each other. Both separate and similar.

Unhelpful uses of erotic idealisation

1) Sustaining unrealistic hopes e.g. perfect reparation by another person; that things might not need to be discussed; that difficult experience may not need to be borne.

2) Promoting the 'magical acts of a desperate person' (Phillips, 2013.) Acting to change the reality of a relationship through strength of feeling. Just as a child does in a tantrum. Maybe seeking triumph over authority or another person's vulnerability. A type of un-consented sadomasochistic sexual excitement. Interactions that are not in the patient's best interest (Perry, July 8, 2020.)

3) Using idealisation to prompt physical contact. Physical contact is too culturally ambiguous. For example a hug can be mistaken for a cuddle. Depending on how each person interprets the same act. Physical contact needs to be practised in other relationships (Briscoe, 2020.)

In summary, there are both helpful and unhelpful uses of the inevitable erotic idealisations in professional therapeutic practice. Therapists and clients being aware of, and discussing, these possibilities can help them achieve safe and effective clinical practise.

References

Benjamin, J. (1995). Like subjects, love objects: Essays on recognition and sexual difference. Yale University Press.

Briscoe, J. (2020). What happens when your relationship with your therapist turns into and affair. The Observer, https://www.theguardian.com/lifeandstyle/2020/jun/07/what-happens-when-your-relationship-with-a-therapist-turns-into-an-afair

Gabbard, G. O. (2006). The Schopenhauer Cure: A Novel. American Journal of Psychiatry, 163(6), 1118-1118.

Group (2020). S1, Ep7: Breaking the rules, YouTube, https://www.youtube.com/watch?v=ao4dV0Teh_o

Perry, A., (July 8, 2020). Some ethics of co-productive relationships, https://www.drandrewperry.org/post/some-ethics-of-co-productive-relationships

Phillips, A. (2013). The magical act of a desperate person: on tantrums. The London Review of Books, 35(5), 19-20.

Renn, P. (2020). A Relational perspective on enactments, boundary violations and self disclosure, Therapy route, https://www.therapyroute.com/article/a-relational-perspective-on-enactments-boundary-violations-and-self-disclosure-by-p-renn?fbclid=IwAR0HzQOsVYIr0NXcUlmt46zh53sJKHodQ8ZlH1yuVla8OgPXYKhND_OtiM4